当前位置： SCI文献检索 > ACTA ANAESTHESIOLOGICA SCANDINAVICA期刊下所有文献 > Atelectasis and lung function in the postoperative period.

Atelectasis and lung function in the postoperative period.

Abstract：

:Thirteen patients with healthy hearts and lungs, and with a mean age of 68 years, who were scheduled for lower abdominal surgery during isoflurane anaesthesia with muscular paralysis, were investigated with arterial blood gases, spirometry, pulmonary x-ray and computed tomography (CT) of the chest before and during anaesthesia, as well as during the first 4 postoperative days. Before anaesthesia, lung function and gas exchange were normal in all patients. Pulmonary x-ray and CT scans of the lungs were also normal. During anaesthesia, 6 of 13 patients developed atelectasis (mean 1.0% of intrathoracic transverse area in all patients). Two hours postoperatively, 11 of 13 patients had atelectasis and the mean atelectatic area was 1.8%. Pao2 was significantly reduced by 2.1 kPa to 9.8 kPa. On the first postoperative day, the mean atelectasis was unaltered (1.8%). None of the atelectasis found on CT scanning could be detected on standard pulmonary x-ray. Forced vital capacity (FVC) and forced expired volume in 1 s (FEV1) were significantly decreased to 2/3 of preoperative level. Pao2 was significantly reduced to less than 80% of the preoperative level (mean 9.4 kPa). There were significant correlations between the atelectatic area and the impairment in FVC, FEV1, and Pao2. Spirometry and blood gases improved during the succeeding postoperative days, and atelectasis decreased. No patient suffered from pulmonary complications, as judged from clinical criteria and pulmonary x-ray, in contrast to the findings of atelectasis in 85% of the patients by computed tomography.

journal_name

Acta Anaesthesiol Scand

journal_title

Acta anaesthesiologica Scandinavica

authors

Lindberg P,Gunnarsson L,Tokics L,Secher E,Lundquist H,Brismar B,Hedenstierna G

doi

10.1111/j.1399-6576.1992.tb03516.x

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

546-53

issue

6

eissn

0001-5172

issn

1399-6576

journal_volume

36

pub_type

杂志文章

相关文献

ACTA ANAESTHESIOLOGICA SCANDINAVICA文献大全
  • Continuous infusion of midazolam during anaesthesia and postoperative sedation after maxillofacial surgery.

    abstract：:The clinical effects and pharmacokinetics of 24 h infusion of midazolam (MDZ) during major maxillofacial surgery and postoperative observation in an Intensive Care Unit (ICU) were studied in 20 patients. During anaesthesia, infusion of MDZ at 5 mg/h combined with 67% nitrous oxide, 1.8 (s.d. = 0.8) mg of fentanyl, and...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1989.tb02872.x

    authors： Driessen JJ,Dirksen MS,Rutten JM,Santman F,van Egmond J,Vree TB

    更新日期：1989-02-01 00:00:00

  • The effect of thoracic epidural analgesia on respiratory function after cholecystectomy.

    abstract：:To assess the effect of thoracic epidural analgesia (TEA) on postoperative respiratory function and pulmonary complications, a prospective randomized trial was conducted in patients undergoing cholecystectomy. One hundred patients were allocated to TEA (n = 30), TEA + general anesthesia (TEA + GA) (n = 30), or general...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.1987.tb02637.x

    authors： Hendolin H,Lahtinen J,Länsimies E,Tuppurainen T,Partanen K

    更新日期：1987-10-01 00:00:00

  • The rare Arg181Cys mutation in the μ opioid receptor can abolish opioid responses.

    abstract：BACKGROUND:Genetic variability contributes to variable clinical response to opioids. This study emerged from the observation of three Norwegian patients who showed no or extraordinary poor response to very high doses of opioids. We suspected a genetic defect and applied a 'most likely candidate gene' approach to invest...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.12739

    authors： Skorpen F,von Hofacker S,Bjørngaard M,Skogholt AH,Dale O,Kaasa S,Klepstad P

    更新日期：2016-09-01 00:00:00

  • The outcome of critical illness in decompensated alcoholic liver cirrhosis.

    abstract：BACKGROUND:The mortality of patients suffering from acute decompensated liver disease treated in the intensive care unit (ICU) varies between 50% and 100%. Previously published data suggest that liver-specific score systems are less accurate compared with the ICU-specific scoring systems acute physiology and chronic he...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2012.02692.x

    authors： Kavli M,Strøm T,Carlsson M,Dahler-Eriksen B,Toft P

    更新日期：2012-09-01 00:00:00

  • Clinical effects of regional intravenous guanethidine (Ismelin) in reflex sympathetic dystrophy.

    abstract：:Twenty patients with documented reflex sympathetic dystrophy were treated with a series of regional intravenous guanethidine blocks. The mean delay between the first clinical symptoms and the start of guanethidine blocks was 3.6 months. The overall result was good in 11 patients, moderate in two patients and poor in s...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1983.tb01996.x

    authors： Driessen JJ,van der Werken C,Nicolai JP,Crul JF

    更新日期：1983-12-01 00:00:00

  • Keeping the spirit high: why trauma team training is (sometimes) implemented.

    abstract：BACKGROUND:Systematic and multiprofessional trauma team training using simulation was introduced in Norway in 1997. The concept was developed out of necessity in two district general hospitals and one university hospital but gradually spread to 45 of Norway's 50 acute-care hospitals over the next decade. Implementation...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,多中心研究

    doi：10.1111/j.1399-6576.2007.01539.x

    authors： Wisborg T,Brattebø G

    更新日期：2008-03-01 00:00:00

  • Nerve blocks in chronic pain therapy--are there any indications left?

    abstract：:Although diagnostic imaging is now highly developed, neural blockade provides another opportunity to test for a source of pain that may frequently leave no signature. Likewise, many neuropathic pains can not be tested by neurodiagnostic methods. This paper makes a case for the continued use of regional anesthesia to a...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,评审

    doi：10.1034/j.1399-6576.2001.450909.x

    authors： Stanton-Hicks M

    更新日期：2001-10-01 00:00:00

  • Choice of anesthetic alters the circulatory shock pattern as gauged by conscious rat endotoxemia.

    abstract：:A standardized rat endotoxin shock model was used to assess the differential effects of four commonly used anesthetics upon hemodynamics before and during endotoxin shock. Forty-nine male Sprague-Dawley rats weighing 307 +/- 4 g were divided into five groups:freely-moving conscious, enflurane (2%), isoflurane (1.4%), ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1987.tb02619.x

    authors： Schaefer CF,Biber B,Brackett DJ,Schmidt CC,Fagraeus L,Wilson MF

    更新日期：1987-08-01 00:00:00

  • Prediction of post-operative pain by an electrical pain stimulus.

    abstract：BACKGROUND:Treatment of post-operative pain is still a significant problem. Recently, interest has focused on pre-operative identification of patients who may experience severe post-operative pain in order to offer a more aggressive analgesic treatment. The nociceptive stimulation methods have included heat injury and ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2007.01271.x

    authors： Nielsen PR,Nørgaard L,Rasmussen LS,Kehlet H

    更新日期：2007-05-01 00:00:00

  • Influence of non-volatile anesthetics on the migration behavior of the human breast cancer cell line MDA-MB-468.

    abstract：BACKGROUND:Anesthetic agents are known to influence functions of the immune system. Anesthetic drugs also support cancer progression by suppressing the activity of immune cells. In breast carcinoma an increase in expression of peripheral-type benzodiazepine receptors (PBR) and the gamma aminobutyl acid (GABA) level has...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1034/j.1399-6576.2002.460714.x

    authors： Garib V,Niggemann B,Zänker KS,Brandt L,Kubens BS

    更新日期：2002-08-01 00:00:00

  • Perioperative use of modified thrombelastography in factor XI deficiency: a helpful method to assess drug effects.

    abstract：:Factor XI deficiency is a rare, hereditary bleeding disorder associated with a trauma-related bleeding tendency, caused by insufficient generation of the thrombin activatable fibrinolysis inhibitor (TAFI) evoking increased fibrinolysis. We present the case of a five year old girl with homozygote, severe factor XI defi...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2007.01284.x

    authors： Dirkmann D,Hanke AA,Görlinger K,Peters J

    更新日期：2007-05-01 00:00:00

  • From intracranial pressure to intracranial pressure wave-guided intensive care management of a patient with an aneurysmal subarachnoid haemorrhage.

    abstract：:We report on a 65-year-old female with an aneurysmal subarachnoid hemorrhage (SAH) that was followed clinically, radiologically and electrophysiologically before and after converting from intracranial pressure (ICP)-guided to ICP wave-guided intensive care management. Intracranial pressure-guided management is aimed a...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2007.01269.x

    authors： Eide PK,Sorteberg W,Meling T,Jörum E,Hald J,Stubhaug A

    更新日期：2007-04-01 00:00:00

  • Perineural meperidine blocks nerve conduction in a dose-related manner: a randomized double-blind study.

    abstract：BACKGROUND:Meperidine has been shown to exhibit a sensory block in peripheral nerves. However, its motor blockade ability is controversial. The aim of this study was to investigate, electroneurographically, the ability of meperidine to inhibit conduction in both sensory and motor fibres in the ulnar nerve. MATERIALS A...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.2009.01953.x

    authors： Oztürk E,Beyazova M,Kaya K,Meray J,Zinnuroglu M,Tarhan B

    更新日期：2009-07-01 00:00:00

  • Xenon and isoflurane improved biventricular function during right ventricular ischemia and reperfusion.

    abstract：BACKGROUND:Although anesthetics have some cardioprotective properties, these benefits are often counterbalanced by their negative inotropic effects. Xenon, on the other hand, does not influence myocardial contractility. Thus, xenon may be a superior treatment for the maintenance of global hemodynamics, especially durin...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2009.02116.x

    authors： Hein M,Roehl AB,Baumert JH,Bleilevens C,Fischer S,Steendijk P,Rossaint R

    更新日期：2010-04-01 00:00:00

  • Comparison of induction with and first hour of recovery from brief propofol and methohexital anesthesia.

    abstract：:Anesthesia and recovery during the first hour after propofol and methohexital anesthesia for termination of pregnancy, lasting about 12 min, were compared, the latter in a double-blind manner by means of psychomotor tests (coin counting and continuous auditory reaction time). Muscle movements and hiccups were seen sig...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.1990.tb03072.x

    authors： Boysen K,Sanchez R,Ravn J,Pedersen E,Krintel JJ,Dyrberg V

    更新日期：1990-04-01 00:00:00

  • Haemodynamic responses and prolongation of QT interval of ECG after suxamethonium-facilitated intubation during anaesthetic induction in children: a dose-related attenuation by alfentanil.

    abstract：:The haemodynamic response to endotracheal intubation and changes in the QT interval of ECG during anaesthetic induction were studied in 68 healthy children (5.5 years). The children were pretreated double-blindly with either alfentanil 10 micrograms/kg (A10), 25 micrograms/kg (A25), 50 micrograms/kg (A50) or saline (c...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.1991.tb03305.x

    authors： Lindgren L,Rautiainen P,Klemola UM,Saarnivaara L

    更新日期：1991-05-01 00:00:00

  • Effect of nicotine dependence on opioid requirements of patients after thoracic surgery.

    abstract：BACKGROUND:This retrospective study investigated the effect of nicotine dependence on required postoperative opioid administration in patients undergoing thoracic surgery. METHODS:The subjects consisted of 215 male patients (112 nonsmokers, 103 smokers) who underwent thoracic surgery and received postoperative patient...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.12430

    authors： Yu A,Cai X,Zhang Z,Shi H,Liu D,Zhang P,Fu Z

    更新日期：2015-01-01 00:00:00

  • Intestinal and hepatic perfusion and metabolism in hypodynamic endotoxic shock. Effects of nitric oxide synthase inhibition.

    abstract：BACKGROUND:Inhibition of nitric oxide synthase (NOS) has been claimed to be beneficial in septic shock. We investigated the overall and regional effects of a NOS-inhibitor on perfusion and metabolism during severe endotoxic shock. METHODS:Nineteen anaesthetised pigs were catheterised and ultrasonic flow-probes were pl...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1034/j.1399-6576.1999.430113.x

    authors： Dahm PL,Thörne J,Myhre E,Grins E,Mårtensson L,Blomquist S

    更新日期：1999-01-01 00:00:00

  • Anaesthetic-induced cardioprotection in an experimental model of the Takotsubo syndrome - isoflurane vs. propofol.

    abstract：BACKGROUND:Takotsubo syndrome (TS) is an acute cardiac condition with a substantial mortality for which no specific treatment is available. We have previously shown that isoflurane attenuates the development of left ventricular (LV) dysfunction in an experimental TS-model. We compared the effects of equi-anaesthetic do...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.12857

    authors： Oras J,Redfors B,Ali A,Lundgren J,Sihlbom C,Thorsell A,Seeman-Lodding H,Omerovic E,Ricksten SE

    更新日期：2017-03-01 00:00:00

  • Oxygenation and release of inflammatory mediators after off-pump compared with after on-pump coronary artery bypass surgery.

    abstract：BACKGROUND:In a previous study, we showed that oxygenation was impaired for up to 5 day after conventional coronary artery bypass grafting (CABG). As cardiopulmonary bypass (CPB) may have a detrimental effect on pulmonary function, we hypothesized that coronary revascularization grafting without the use of CPB (OPCAB) ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.2007.01426.x

    authors： Rasmussen BS,Laugesen H,Sollid J,Grønlund J,Rees SE,Toft E,Gjedsted J,Dethlefsen C,Tønnesen E

    更新日期：2007-10-01 00:00:00

  • Predicted normocapnea in infants and children using the Bain circuit with controlled ventilation.

    abstract：:We have constructed a nomogram for fresh gas flow (VFG) and minute ventilation (VE) for paediatric anaesthesia during controlled ventilation using the Bain coaxial Mapleson D circuit. VFG was based upon the assumption of a high fresh gas utilization because of a low VFG/VE ratio (0.67) and known figures of carbon diox...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1990.tb03081.x

    authors： Jonsson LO,Bain JA,Lee R

    更新日期：1990-05-01 00:00:00

  • Single transpulmonary thermodilution in off-pump coronary artery bypass grafting: haemodynamic changes and effects of different anaesthetic techniques.

    abstract：BACKGROUND:Off-pump coronary artery bypass grafting (OPCAB) can be associated with severe cardiovascular changes, thus requiring advanced haemodynamic monitoring. Our aim was to investigate the feasibility of transpulmonary single thermodilution (STD) combined with pulse-contour analysis, a newly introduced method for ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.2006.01247.x

    authors： Kirov MY,Lenkin AI,Kuzkov VV,Suborov EV,Slastilin VY,Borodin VV,Chernov II,Shonbin AN,Bjertnaes LJ

    更新日期：2007-04-01 00:00:00

  • Recovery characteristics of sevoflurane or halothane for day-case anaesthesia in children aged 1-3 years.

    abstract：BACKGROUND:Our objective was to compare the recovery characteristics of sevoflurane and halothane for short day-case anaesthesia in a specifically limited age group of children 1-3 yr. METHODS:Eighty unpremedicated children undergoing day-case adenoidectomy were randomly assigned to receive inhalational induction with...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1034/j.1399-6576.2000.440118.x

    authors： Viitanen H,Baer G,Annila P

    更新日期：2000-01-01 00:00:00

  • Parenteral nutrition in preterm neonates with and without carnitine supplementation.

    abstract：:The effects of carnitine supplementation on fat and glucose metabolism and carnitine balance were studied in 12 preterm neonates receiving full or partial parenteral nutrition (PN) for 5 to 21 days. The gestational age ranged from 27 to 32 weeks and the birth weight from 790 to 2090 g. The neonates were assigned at ra...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.1990.tb03132.x

    authors： Larsson LE,Olegård R,Ljung BM,Niklasson A,Rubensson A,Cederblad G

    更新日期：1990-08-01 00:00:00

  • Extremely prolonged neuromuscular blockade after rocuronium: a case report.

    abstract：:It is known that the duration of rocuronium action can be prolonged in elderly patients and that such action shows important interindividual variability. We report a case of prolonged neuromuscular block lasting 11 h, in a woman subjected to kidney transplantation. The possible causes of such prolonged action, inheren...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2009.01977.x

    authors： Morales Martín AC,Vaquero Roncero LM,Muriel Villoria C

    更新日期：2009-08-01 00:00:00

  • Dexamethasone as adjuvant for femoral nerve block following knee arthroplasty: a randomized, controlled study.

    abstract：BACKGROUND:We examined the effect of the addition of dexamethasone to bupivacaine for femoral nerve blocks on the block duration and the quality of post-operative analgesia following total knee replacement surgery. METHODS:In total, 200 ASA I-III patients were randomly allocated to either the control group who receive...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 评论,杂志文章

    doi：10.1111/aas.12750

    authors： Sherif AA,Elsersy HE

    更新日期：2016-08-01 00:00:00

  • Red blood cell transfusion during septic shock in the ICU.

    abstract：BACKGROUND:Transfusion of red blood cells (RBCs) remains controversial in patients with septic shock, but current practice is unknown. Our aim was to evaluate RBC transfusion practice in septic shock in the intensive care unit (ICU), and patient characteristics and outcome associated with RBC transfusion. METHODS:Pros...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2012.02666.x

    authors： Perner A,Smith SH,Carlsen S,Holst LB

    更新日期：2012-07-01 00:00:00

  • Epidural ropivacaine and sufentanil and the perioperative stress response after a radical retropubic prostatectomy.

    abstract：BACKGROUND:The effects of an epidural opioid and a local anesthetic on the perioperative stress responses have not been fully investigated in elderly patients undergoing cancer surgery. We hypothesized that the stress response after a radical retropubic prostatectomy (RRP) would be attenuated by epidural ropivacaine an...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.2010.02360.x

    authors： Hong JY,Yang SC,Yi J,Kil HK

    更新日期：2011-03-01 00:00:00

  • Vasopressor hormone response following mesenteric traction during major abdominal surgery.

    abstract：BACKGROUND:We investigated the vasopressor hormone response following mesenteric traction (MT) with hypotension due to prostacyclin (PGI2) release in patients undergoing abdominal surgery with a combined general and epidural anesthesia. METHODS:In a prospective, randomized, placebo-controlled study we administered 400...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.1998.tb05355.x

    authors： Brinkmann A,Seeling W,Wolf CF,Kneitinger E,Schönberger C,Vogt N,Orend KH,Büchler M,Radermacher P,Georgieff M

    更新日期：1998-09-01 00:00:00

  • Triage and mortality in 2875 consecutive trauma patients.

    abstract：BACKGROUND:Most studies on trauma and trauma systems have been conducted in the United States. We aimed to describe the factors predicting mortality in European trauma patients, with focus on triage. METHODS:We prospectively registered all trauma patients in Eastern Denmark over 12 consecutive months. We analysed the ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2009.02075.x

    authors： Meisler R,Thomsen AB,Abildstrøm H,Guldstad N,Borge P,Rasmussen SW,Rasmussen LS

    更新日期：2010-02-01 00:00:00